Wellington, James
Wellington, James was paid $5K by Medicaid between May 2018 and Aug 2018, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 35% of everything it billed.
33Billing provider infoWELLINGTON, JAMES
GOSHEN, IN 46526
GOSHEN, IN 46526
33aNPI1104938547assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$5K
24GClaims226
24DCodes billed5
24AFirst – last monthMay 2018 – Aug 2018
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#501 of 743
Median peer was paid$22K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 226 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 35% | 29 | 29 | $2K |
| 92015 | Determination of refractive state | 23% | 104 | 89 | $1K |
| V2020 | Frames, purchases | 15% | 52 | 47 | $780.00 |
| 92002 | 14% | 12 | 12 | $704.88 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 29 | 17 | $703.08 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.